Provider Demographics
NPI:1619204716
Name:BARBERIO, THOMAS F (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:BARBERIO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1307
Mailing Address - Country:US
Mailing Address - Phone:570-546-3419
Mailing Address - Fax:570-546-7172
Practice Address - Street 1:42 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1307
Practice Address - Country:US
Practice Address - Phone:570-546-3419
Practice Address - Fax:570-546-7172
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADL027966122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist